Section 704 of the Comprehensive Addiction and Recovery Act of 2016 (CARA) authorizes a program to prevent prescription drug abuse in Medicare Parts C and D. Specifically, this section allows for a drug management program for “at-risk” beneficiaries for prescription drug abuse.
Full Answer
What is the Comprehensive Addiction and Recovery Act?
The Comprehensive Addiction and Recovery Act (CARA) establishes a comprehensive, coordinated, balanced strategy through enhanced grant programs that would expand prevention and education efforts while also promoting treatment and recovery. Brief Summary of Provisions of CARA
What is the first major federal addiction legislation in 40 years?
This is the first major federal addiction legislation in 40 years and the most comprehensive effort undertaken to address the opioid epidemic, encompassing all six pillars necessary for such a coordinated response – prevention, treatment, recovery, law enforcement, criminal justice reform, and overdose reversal.
What is the comprehensive response to the opioid crisis?
The comprehensive response must include state prescription drug monitoring programs, as well as prevention/education efforts, expanded treatment programs, and plans for reversing opioid overdoses.
What is the comprehensive opioid abuse grant program?
Sec. 201 – Comprehensive Opioid Abuse Grant Program: Creates a grant program within the Department of Justice for States, local governments, and Indian tribes to develop, implement, or expand a program for treatment alternatives to incarceration; enhance collaboration between state criminal justice agencies and substance misuse agencies in order...
What did the Comprehensive Addiction and Recovery Act do?
The Comprehensive Addiction and Recovery Act (CARA) establishes a comprehensive, coordinated, balanced strategy through enhanced grant programs that would expand prevention and education efforts while also promoting treatment and recovery.
What is Cara status in Medicare?
As required by the Comprehensive Addiction and Recovery Act (CARA), in this final rule, CMS finalized the framework under which Part D plan sponsors may voluntarily adopt drug management programs for beneficiaries who are at risk of misusing or abusing frequently abused drugs.
What is a potential at risk beneficiary for Medicare?
RISK BENEFICIARIES (ARBs) (42 CFR §423.100) A PARB is a beneficiary who meets the OMS criteria or who was identified as a PARB by the sponsor of the beneficiary's immediately prior Part D plan under its DMP and such identification had not been terminated before disenrollment.
When was the Comprehensive Addictions and Recovery Act signed?
The Comprehensive Addiction and Recovery Act (CARA) was signed into law by President Obama on July 22, 2016. The bill was introduced by Senator Sheldon Whitehouse and Representative Jim Sensenbrenner as the first major federal addiction act in 40 years.
How does Medicare and TRICARE work together?
When you have Medicare Parts A and B, you automatically receive coverage fromTRICARE For Life. There are no enrollment forms or enrollment fees for TRICARE For Life. Medicare is your primary payer. TRICARE pays second to Medicare or last if you have other health insurance.
What happens to my TRICARE Prime when I turn 65?
TRICARE and Medicare beneficiaries who are age 65 must have Medicare Part A and Part B to remain TRICARE-eligible and be able to use TFL. TRICARE beneficiaries who aren't eligible for premium-free Medicare Part A at age 65 on their own work history or their spouse's work history remain eligible to enroll in USFHP.
Is Medicare considered underinsured?
We used thresholds developed for earlier studies of the under-65 population,14 categorizing Medicare beneficiaries as underinsured if they were in households that spent 10 percent or more of income on medical care alone, or 5 percent or more if income was less than 200 percent of the federal poverty level.
Is there a cap on Medicare Part D Penalty?
The Part D penalty has no cap. For example: The national average premium is $33.37 a month in 2022. If you went 29 months without creditable coverage, your penalty would be $9.70.
Is Medicare Part D required?
Is Medicare Part D Mandatory? It is not mandatory to enroll into a Medicare Part D Prescription Drug Plan.
What is the Cara Program?
CARA is a statewide network of hundreds of organizations that educate and inform its membership, the public, and elected officials about the issues that affect the well-being of California's older adults – and mobilizes its members to take action on these issues. CARA is a charitable 501 (c)4 organization.
What do the letters Cara stand for in the CARA approach?
Conversation Analysis Research in Autism (CARA) is a forum for researchers who use conversation and/or discourse analysis to explore autism.
What is Cara capta?
The Comprehensive Addiction and Recovery Act of 2016 (CARA) is a provision of the Child Abuse and Prevention Treatment Act (CAPTA). CARA puts focus on infants born and identified as being affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure, or a Fetal Alcohol Spectrum Disorder.
What is the purpose of the Statutory Eligibility Requirement Review?
The Statutory Eligibility Requirement review is a critically important step in the Review and Selection Process . Statutory eligibility reviews are conducted by ONDCP and CDC Program Officials to determine whether applicants meet all Statutory Eligibility Requirements as outlined in Table 3 of the NOFO. Ineligible applications will not advance to Phase II review. Applicants will be notified that their applications were deemed ineligible. All applications that are deemed eligible and responsive will then be evaluated by a review panel. Please see Appendix C: Review and Selection Process for an overview of the Review and Selection Process.
What is the information included in the Administrative and National Policy Requirements and Reporting Sections of this funding opportunity?
The information included in the Administrative and National Policy Requirements and Reporting Sections of this funding opportunity is for your informational purposes only to better understand the requirements an organization will be held to if selected for an award under this program.
How long is the work plan?
The Work Plan covers a 12-month period and identifies the proposed objectives, strategies, and activities during the period of performance, July 1, 2021 – June 30, 2022. This section of the Project Narrative is worth 25 points.
How many pages are in the project narrative?
The project narrative portion of the application is limited to 10 pages only.
Do fiscal agents need to complete the risk assessment?
Yes, the fiscal agent should complete the Risk Assessment Questionnaire. CDC requires all applicants to complete the Risk Questionnaire. Please see Section D. Application and Submission Information, Subsection 5: CDC Assurances and Certifications within the funding opportunity announcement for additional information.
Do you have to show that rates are higher for each category of substance?
No, the applicant does not need to demonstrate that rates are higher for each category of substance. The applicant should select the substance category or categories based on local data for the community being served by its coalition. Please refer to Section 2.
How much money did the Comprehensive Addiction and Recovery Act of 2015 provide?
The Comprehensive Addiction and Recovery Act of 2015 will: Provide up to $80 million in funding for prevention, treatment, and recovery. Launch an evidence-based opioid and heroin treatment and interventions program.
Why expand disposal sites for unwanted prescription medications?
Expand disposal sites for unwanted prescription medications to keep them out of the hands of our children and adolescents
Is the Comprehensive Addiction and Recovery Act of 2015 a co-sponsor?
The Comprehensive Addiction & Recovery Act of 2015 needs more co-sponsors in Congress if it will ever become a reality. Contacting your congressional representatives is easy! Lend your voice by participating in the national call-in day and let your representatives know the importance of supporting addiction treatment.
When was the Comprehensive Addiction and Recovery Act signed into law?
The Comprehensive Addiction and Recovery Act (CARA, P.L. 114-198 [1]) was signed into law on July 22, 2016. CARA was the first major legislative effort focused on addressing the opioid epidemic in the U.S. It authorized over $181 million in new funding to create a coordinated response to the epidemic through prevention, treatment, recovery, law enforcement, criminal justice reform, and overdose reversal.
What is a lock in program for Medicare?
Pharmacy and Prescriber Lock-In Programs: The law authorized amendments to Medicare to allow Medicare Advantage and prescription drug plans (Parts C and D) to implement pharmacy and prescriber lock-in programs that require a patient to only obtain opioids from one pharmacy or one doctor. The Centers for Medicare and Medicaid Services (CMS) finalized the rule implementing these provisions for the 2019 plan year in April 2018. [4] Lock-ins will only apply if a patient is taking a high dosage of opioids and appears to be pharmacy or prescriber “shopping,” and the programs exclude patients with a diagnosis of cancer. It is not clear how CMS or Medicare C and D plans are defining this cancer exemption, and ACS CAN asked for more clarification in comments on the proposal. [5]
General Grant Award
- What is the Comprehensive Addiction and Recovery Act (CARA) Local Drug Crises program?
- Where can I find the Notice of Funding Opportunity (NOFO) for the Comprehensive Addiction and Recovery Act (CARA) Local Drug Crises Grant? What is the timeline for submission?
- Where can I access the recording for the CARA Applicant Training Webinar?
Eligibility
- Am I eligible to apply for a CARA grant?
- Can current Comprehensive Addiction and Recovery Act (CARA) Local Drug Crises recipients apply?
- Can the same fiscal agent for your DFC grant serve as your CARA fiscal agent?
- Can an organization that does not have 501(c)(3) status serve as a fiscal agent?
Application Submission
- Where do I submit an application?
- Who can I contact if I have questions about Grants.gov functionality?
- Is a Letter of Intent required with applications?
Forms and Attachments
- How should attachments be named and uploaded?
- I do not have a Lobbyist. How do I complete the Disclosure of Lobbying Activities form?
- Does the Fiscal Agent complete the Risk Assessment Questionnaire?
- How many sets of meeting minutes are required?
Project Narrative
- What is included in the Project Narrative?
- How many pages may be included in the Project Narrative?
- Is the Work Plan included in the Project Narrative?
- What is covered in the Work Plan?
Budget and Federal Financial Report
- Is there a budget template for CDC applications?
- Do I need to submit a Budget Narrative?
- What is the difference between “Consultant Costs” and “Contractual Costs”?
- My coalition currently provides stipends. Under previous budget narrative and categories, we have included them in the Contractor section. How should I report these now with the CDC?
Review and Selection
- How will applications be reviewed and scored?
- What are Statutory Eligibility Requirement Reviews?
- If the applicant fails to meet even one of the statutory eligibility criteria, are they ineligible?